STUDENTS: Lucy Adams, Logan DeSanto, Megan Lucey
![#29-H(ID) The Role of the Nurse in the Treatment of Persons Impacted by Lyme Disease](https://sites.psu.edu/ugrwebshowcase2021/files/2021/03/29-HID-lpa5124-The-Role-of-the_Lucy-Adams.png)
PROJECT ADVISOR: Michael Evans
ABSTRACT
Lyme disease is a tick-borne illness carried by black-legged ticks caused by the bacterium Borrelia burgdorferi. The bacterium has the potential to be transmitted when one tick attaches to an individual for 36-48 hours. The most prevalent areas for Lyme disease include wooded areas of the northeastern U.S. When a patient is diagnosed and treated in the early stages, they are usually able to recover completely. However, a diagnosis of Lyme disease is commonly delayed due to misattribution of the vague symptoms these patients present with, besides the common red, bulls-eye rash referred to as erythema migrans. Early diagnosis and treatment are essential to recovery because of the lasting effects untreated Lyme Disease can cause. Post Treatment Lyme Disease Syndrome (PTLDS) occurs for many patients who are not diagnosed early or do not respond to treatment. Alternative therapy is then necessary to alleviate symptoms. In order to address the complex issues surrounding the treatment of Lyme disease and PTLDS, a case study is used to describe the events of a patient who presents to the emergency department with fever, fatigue, and a rash for the past three days. A literature review was used to gather scholarly articles to find best practices for patients with Lyme disease and PTLDS. Best practices included prevention and early diagnosis, antibiotic therapy, pain relief, and education of PTLDS. Nurses are able to utilize the case study to provide patients with higher quality care from the first visit with a patient presenting with such symptoms.